Cost effectiveness of a mail-delivered individually tailored physical activity intervention for Latinas vs. a mailed contact control.
Int J Behav Nutr Phys Act
; 12: 140, 2015 Nov 11.
Article
em En
| MEDLINE
| ID: mdl-26559336
ABSTRACT
BACKGROUND:
Physical inactivity is high in Latinas, as are chronic health conditions. There is a need for physical activity (PA) interventions that are not only effective but have potential for cost-effective widespread dissemination. The purpose of this paper was to assess the costs and cost effectiveness of a Spanish-language print-based mail-delivered PA intervention that was linguistically and culturally adapted for Latinas.METHODS:
Adult Latinas (N = 266) were randomly assigned to receive mail-delivered individually tailored intervention materials or wellness information mailed on the same schedule (control). PA was assessed at baseline, six months (post-intervention) and 12 months (maintenance phase) using the 7-Day Physical Activity Recall Interview. Costs were calculated from a payer perspective, and included personnel time (wage, fringe, and overhead), materials, equipment, software, and postage costs.RESULTS:
At six months, the PA intervention cost $29/person/month, compared to $15/person/month for wellness control. These costs fell to $17 and $9 at 12 months, respectively. Intervention participants increased their PA by an average of 72 min/week at six months and 94 min/week at 12 months, while wellness control participants increased their PA by an average of 30 min/week and 40 min/week, respectively. At six months, each minute increase in PA cost $0.18 in the intervention group compared to $0.23 in wellness control, which fell to $0.07 and $0.08 at 12 months, respectively. The incremental cost per increase in physical activity associated with the intervention was $0.15 at 6 months and $0.05 at 12 months.CONCLUSIONS:
While the intervention was more costly than the wellness control, costs per minute of increase in PA were lower in the intervention. The print-based mail-delivered format has potential for broad, cost-effective dissemination, which could help address disparities in this at-risk population. TRIAL REGISTRATION NCT01583140; Date of Registration 03/06/2012; Funding Source of Trial National Institute of Nursing Research (NINR); Name of Institutional Review Board Brown University IRB; Date of Approval 05/19/2009.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviços Postais
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Exercício Físico
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Hispânico ou Latino
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Análise Custo-Benefício
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Competência Cultural
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Promoção da Saúde
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Idioma
Tipo de estudo:
Clinical_trials
/
Health_economic_evaluation
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Middle aged
Idioma:
En
Revista:
Int J Behav Nutr Phys Act
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Estados Unidos